CARE HOMES FOR OLDER PEOPLE
Woodlands Toll Bar Distington Workington Cumbria CA14 4PJ Lead Inspector
Paula Banham Unannounced Inspection 6th December 2005 11.15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Woodlands Address Toll Bar Distington Workington Cumbria CA14 4PJ 01946 830065 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.cumbriacare.org.uk Cumbria Care Lynne Maria Newbury Care Home 40 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (38), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (1) Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: up to 38 service users in the category of DE(E) (Dementia over 65 years of age) 1 service user in the category of DE (dementia under 65 years of age) 1 named service user in the category MD(E) (Mental disorder, excluding learning disability or dementia - over 65 years of age). An application to vary the registration must be made to the Commission for Social Care Inspection when care is no longer offered to this person in category MD(E). When single rooms of less than 12 sqm usable floor space becomes available they must not be used to accommodate wheelchair users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 16th June 2005 2. 3. Date of last inspection Brief Description of the Service: Woodlands is a residential care home registered with the Commission for Social Care Inspection to provide personal care and accommodation for up to forty people. The home is owned and carried on by Cumbria Care which is a Cumbria County Council business unit. Mrs Lynne Newbury is employed as the registered manager the home. Woodlands is located on the outskirts of Distington and consists of a purpose built single storey building set in its own grounds. Accommodation is provided in forty single bedrooms. There are wash hand basins in all the bedrooms in the home and accessible toilet and bathing facilities close to all the accommodation used by residents. The home is arranged into three living units, each with its own kitchen, sitting and dining areas. Outdoor space is provided in the form of a pleasant secure courtyard with flowerbeds and seating for residents and a garden area which is accessible to the people living in the home. Woodlands provides permanent accommodation for residents and short-term respite care when accommodation is available. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 6th December 2005. The inspection focussed on how well the services provided meet the needs of the residents living in the home. This was assessed by speaking to residents, care staff and the manager, observing activity in the home and examining the records which care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better:
Woodlands continues to provide a high standard of care. All of the standards assessed at the inspection were met. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6. Residents’ needs are assessed and are met by the services provided in the home. EVIDENCE: Residents’ needs are assessed before they are offered accommodation in the home. The assessments are used to ensure that the services provided are suitable to meet the needs of the individual. The home’s admissions procedure includes a review period during which time residents and their families can decide whether they wish to stay at Woodlands. The home provides day care and short-term respite care which give individuals the opportunity to become acquainted with the home and staff. This can assist people to settle in the home if they need permanent residential care. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 and 10. The home provides a high standard of care which meets residents’ needs and respects their privacy and dignity. EVIDENCE: Woodlands provides a high standard of care which meets the needs of the residents living there. Care staff monitor individuals’ health and wellbeing and take advice as required. Residents receive health care from their own GPs and specialist services as they need. Care staff take action to protect residents’ privacy including knocking on doors to private accommodation and ensuring that doors to bathrooms and toilets are closed. Residents are treated with respect by the staff in the home and are given choices about their lives. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14. Residents are supported to maintain control over their lives and the decisions they make are respected. Activities are well managed and take account of residents’ preferences. EVIDENCE: Residents have a choice of a range of activities which take into account their preferences. Residents choose whether to take part in the activities provided. Care staff support residents to make decisions about their lives in the home and respect the choices they make. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. The home has a clear complaints procedure and residents and their families know action will be taken to resolve their concerns. EVIDENCE: Woodlands has a clear complaints procedure which is given to new residents when they move in to the home. A copy of the complaints procure is displayed in the home and is given to residents’ families. The atmosphere in the home is open and friendly and residents know they can raise any complaints and appropriate action will be taken to resolve their concerns. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26. Woodlands provides a safe, clean and comfortable environment for residents to live in. EVIDENCE: Woodlands was purpose built as a care home for older people with dementia. The home is clean and well maintained and provides safe and comfortable accommodation for residents. The home is suitable to meet the needs of residents. Specialist equipment is provided including grab rails, a call bell system and assisted bathing and toilet facilities. The home is well laid out and accommodation is clearly signed so that residents can identify their own rooms and find their way around the home. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 29. Care staff are well trained and skilled and provide a high standard of care. The home follows thorough recruitment procedures to ensure residents’ safety and welfare. EVIDENCE: Care staff receive a range of training to give them the skills and knowledge to meet residents’ needs. Specialist training is provided to ensure care staff have a thorough understanding of the needs of the residents and how best to support them. Nine staff are studying NVQ level 2 in dementia care and the manager aims for all care staff to have completed this training by December 2006. Care staff are skilled and competent and provide a high standard of care. All staff in the home receive training to enable them to carry out their duties safely. The home follows Cumbria Care’s recruitment procedures. The procedures include checks on applicants’ background including references and Criminal Record Bureau and Protection of Vulnerable Adults list disclosures. These checks ensure that the staff employed are suitable to work with residents and maintain their safety. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38. Woodlands is well managed and residents’ interests, safety and welfare are protected. EVIDENCE: The home’s management team are committed to maintaining a high standard of care. The manager has achieved the Registered Manager’s Award and is skilled and experienced to manage the home. Systems are in place to protect residents’ financial interests. Money held on behalf of residents is stored securely. Staff have received training to enable them to carry out their duties safely including: infection control, food hygiene, moving and handling and fire safety. Advice is taken from the local environmental health and fire officers regarding maintaining a safe environment. Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 3 X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodlands DS0000036573.V271827.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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